FORM 1023-EZ for 7 FLAMES GEORGIA LACROSSE CLUB INC

Field Data
EIN 83-0977803
Case Number EO-2018192-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 7 FLAMES GEORGIA LACROSSE CLUB INC
Organization’s Mailing Address 1132 BLUFFHAVEN WAY NE
City BROOKHAVEN
State GA
ZIP 30319
Accounting period End 12
Primary contact name K SHANNON CLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM JONES
PRESIDENT
1132 BLUFFHAVEN WAY NE
BROOKHAVEN GA 30319

Officer/Director/Trustee Two

SAMUEL COLUZZI
VICE PRESIDENT
1132 BLUFFHAVEN WAY NE
BROOKHAVEN GA 30319

Officer/Director/Trustee Three

KRISTIAN CLACK
TREASURER
1132 BLUFFHAVEN WAY NE
BROOKHAVEN GA 30319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTIAN CLACK
Signature Title TREASURER
Signature Date 7/9/18

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